Archive for the ‘implant rupture’ Category. Possible specific complications of mammoplasty - ways to eliminate the consequences of breast plastic surgery How to determine damage to a breast implant

I heard that some patients of plastic surgeons face such a problem as a rupture of implants after a few years. Can you please tell me how relevant this is? Can you guarantee that the implants will not break? And which manufacturer's product do you use? Thank you.

Doctors Answers

Hello Julia. To date, all leading manufacturers of implants give a lifetime warranty on their products. So there is no need to worry about the shell rupture. They can withstand huge loads, which are not in the body at all. The only thing that is really dangerous is wounds with a sharp object (knife), which should be avoided even without implants, and the second, more realistic option is medical manipulations, punctures of the mammary gland. Therefore, before such procedures, it is MANDATORY to warn the doctor about the presence of implants. But even if the implant was accidentally damaged, there is no urgent need for surgery, because. the gel is not fluid and does not migrate anywhere from the implant bed. In this case, it is recommended to replace the implant with a new one in a planned manner.

Hello. At the moment there is no such problem. Leading manufacturers give a lifetime warranty on implants. We use Allergan, Mentor, Arion... In order to destroy the implant shell, you need to make tremendous efforts. All the rarest cases of shell damage are related to implants of very old generations.

Hello Julia! In surgery, the word guarantee is a misnomer. In general, there are no guarantees in medicine. About implants - all firms producing implants position their lifelong standing. However, with a serious injury that harms the body, the implant can also be damaged.

Hello, implant manufacturers give a lifetime warranty on their products and issue a passport for the implant that is being installed. Most often in my practice I use implants of the two most famous manufacturers Mentor or Natrele. I invite you to an internal consultation. Dr. Kirill Lelikov

Hello! Now almost more than 80% of manufacturers give a guarantee of 50 years or more. Implants withstand loads from 5 to 8 atmospheres of pressure. Yes, it’s better for me to forget about diving with an implant, but in everyday life and even with frequent flights, implants can easily withstand the load. It is possible to mechanically damage the implant shell, then the gel can leak out. But even with this, advanced firms create gel forts that do not spread very much, remaining as close as possible. And yes, in such cases it is necessary to remove it surgically. Mechanical damage is different among medical ones - this is damage (rupture) of cannulas, for example, when they want to add volume using lipofilling. Or other injuries, the impact of which exceeds the load of 5-8 atmospheres. And this is almost Summing up, I can say with confidence that modern gel-filled implants are the safest for a modern woman leading an active lifestyle. In my practice I use Natrel Silimed, Motiva Nagor, Eurosilicone and Mentor. Sincerely, Victoria S.

Greetings! I work with implants from only two companies: Mentor and Allergan. They have a lifetime warranty on their products and in my 16 years of experience I have not seen breaks. If you have any questions, please call. I will be happy to help you with the choice of implants and with the operation.

Hello Julia! This problem exists. No one, I think, will give you a guarantee that the prostheses will not break. Manufacturers give a lifetime guarantee that if something happens to the prosthesis, you will be returned a similar product or its full cost. Violation of the integrity of the shell can occur from a sharp push to the chest, with a sharp operation of the seat belt in an accident. In my work, I most often use Allergan or Arion prostheses.

In practice, this cannot happen, only with serious injury or damage. These are quite rare, almost casuistic cases. You don't think about it. Implants are now modern with a good shell, but they themselves must understand that anything can happen and no one can give a 100 percent guarantee

Hello! Yes, gaps are rare, but they do happen. There is no reliable information why this is happening, but I personally saw the facts of the gap myself. That is why manufacturers recommend replacing implants every 10 years.

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Clinic of Dr. Kolokoltsev

Moscow, Novoslobodskaya d. 46

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ART Clinic

Moscow, 1st Tverskoy Yamskoy per., 13/5, Institute of Neurosurgery named after A.I. N.N. Burdenko, 1st building, 3rd floor

"ART-Clinic" - clinic of plastic surgery and cosmetology The clinic of plastic surgery and cosmetology "ART-Clinic" operates on the basis of the Institute of Neurosurgery named after N.N. Burdenko since 2003. Its founder Alexander Ivanovich Nerobeev is an outstanding surgeon, professor, doctor of medical sciences, Honored Scientist of the Russian Federation, laureate of the State Prize of the Russian Federation, an extra-class specialist, recognized not only in our country, but also abroad, to this day personally performs the most complex operations. Through the efforts and energy of Professor Alexander Ivanovich Nerobeev, a school of unique specialists was created who are able to successfully manage the most serious cases, including complications after plastic surgery. The priority of "ART-Clinic" is the colossal experience of its specialists in the field of cosmetology, plastic and maxillofacial surgery, as well as a first-class scientific and technical base. Over the years of successful work, ART-Clinic has earned a reputation as a company that meets international standards of quality and professionalism. Therefore, today it is here that not only the most popular and sought-after aesthetic operations are performed, but also the most complex, rare and even unique corrections. The ART-Clinic team is: Long-term experience of successful work A team of highly qualified doctors Modern minimally invasive methods of operations and reconstructions Responsibility, openness and professionalism More than 10,000 satisfied patients Beauty will save the world, and aesthetic medicine will support it in this

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Lege Artis

Moscow, Bolshoi Savvinsky lane, 12, building 12

Modernity sets its requirements in everything. As standards change, we need to not only look good, but also showcase our uniqueness. We turn our clothes into works of art, but what about our flaws? We do not always have perfect skin or a figure, but this is not a sentence, and aesthetic medicine will help us in the fight against our shortcomings. The Lege Artis clinic is based on the principles of aestheticism, which bring you closer to the desired ideal, transforming your body into a real masterpiece. The most difficult thing in the work of a plastic surgeon is to emphasize the individuality of a person and at the same time achieve an excellent result from the procedure. Being true virtuosos, the experienced plastic surgeons of the Lege Artis clinic cope with this task with amazing ease. It is very difficult to get the naturalness of the procedures performed, but reviews about Lega Artis say otherwise. The high competence of doctors has been repeatedly confirmed by various clinics in the USA and Israel. Frequent internships abroad allow you to adopt techniques that open up new opportunities and reduce the recovery period. The most modern equipment of the clinic helps to achieve maximum efficiency of procedures. The patient experiences stress during the operation and the best medicine after it is comfort and peace. Clinic Lege Artis and the feedback of its clients on social networks speak of the exemplary service and attentive attitude that the clinic staff surrounds their visitors. A characteristic feature of the Lege Artis clinic is to ensure the complete safety of the patient. Doctors, based on their rich experience and advanced technical equipment, make accurate planning, which leads to the expected success. At Lega Artis, reviews are used to constantly improve the quality of service and maintain it at the proper level. Management and plastic surgeons study them regularly to stay in close contact with the patient.

Many girls are wondering how breast examination will take place after breast augmentation. Will all examined areas of the chest be visible on the devices?

Every woman, of course, takes care of her health. And everyone knows that after 35 years you need to undergo a mammogram once a year. And after breast augmentation and even more so. Fluorography is also carried out once a year.

We all want to be healthy and therefore girls who care about their future always undergo examinations on time.

So what will it look like? Do implants interfere with breast exams?

How to do ultrasound after mammoplasty? How is fluorography performed with breast implants? CT and MRI after mammoplasty? Ultrasound after breast augmentation? We will help you figure it out.

We would like to note that the presence of breast implants does not affect the examination in any way, it is always possible to establish an accurate diagnosis using one of the methods.

But of course, with the availability of modern technology for examining the breast after mammoplasty.

Modern clinics are usually equipped with the latest models of technology. When registering at the clinic for an examination of a girl, you should clarify what devices are worth, whether it is possible to conduct an examination in this clinic if there are breast implants, and of course, consult with a specialist to select the exact method of examination in an individual case.

And we will dispel the existing myths about the impossibility of conducting a survey.

Ultrasound - ultrasonography. After breast augmentation is carried out annually. One of the most common survey methods in our time. It is also a mandatory examination before plastic surgery on the breast. Ultrasound of the mammary glands after breast augmentation allows you to identify pathologies of the mammary glands before surgery, assess the condition of breast implants and the tissues themselves, as well as exclude possible complications, such as inflammation, tissue changes, and the formation of a capsule during the rehabilitation period.

Mammography after mammoplasty is the most thorough examination method. Mammography examination method after mammoplasty has some difficulties. You need to know about this! The implant may block some areas of the breast during the examination, to a greater extent and in percentage terms, this applies to cases where the implant is placed above the pectoral muscle. In the case of an implant placed under the muscle, the obstructed area of the mammary gland is much smaller. Also, this research method is not informative in cases of rupture or leakage of breast implants.

MRI after mammoplasty is magnetic resonance imaging of the mammary glands.

A method for examining gland tissues using a powerful magnetic field. With this method, foci of tumors, metastases, ruptures of breast implants are detected.

CT or computed tomography after mammoplasty, this type is referred to as X-ray methods for examining the mammary gland. For the diagnosis of cancer is the most informative and accurate type of study. CT is prescribed to clarify the diagnosis already in a narrow circle of women.

FLG after mammoplasty or fluorography after breast augmentation.

Before undergoing this examination, the patient must warn the doctor about the presence of breast implants. Many people wonder if the implants are visible in the FLG image. We will answer, yes, it is clear.

As you can see, the silicone implants that are used in mammoplasty are X-ray permeable, their presence will not complicate the examination of the lungs in FLH.

Breast implants can last a lifetime, but this is certainly not the case for every woman. Sometimes they are prone to breaks.

Breast implant manufacturers agree that implants are not "lifetime" devices - they can rupture or deflate (deflate).

Silicone implants have improved a lot since their introduction in the 60s. The first generation of silicone implants had a thick silicone rubber shell. Despite the durability, the shell was too hard, which created discomfort for their owners. In the 70s and 80s, breast implant shells became thinner and softer. However, this change made the implants more prone to rupture. At that time, the silicone gel was not of high enough quality, and when broken, it fell into other parts of the body.

Today, silicone breast implants are made from a strong silicone shell with a silicone gel binder. In case of rupture, the gel will not leak out of the shell, the implant will retain its shape.

Despite improvements in breast implants, rupture can still occur. The risk of implant rupture increases by about 1 percent each year because breast implants are not meant to be used for life.

Types of silicone implant ruptures

There are different gaps. With an intracapsular rupture, the silicone gel remains in the scar capsule despite a small rupture. It is also known as the "silent" gap. With extracapsular rupture, the capsule is damaged. It is not common, because. usually caused by trauma to the chest.

With an extracapsular rupture, the shape of the breast looks different. A noticeable bulge may appear or you may feel a small lump. There may also be a burning sensation, softness, or the area may become a little numb. In most cases of rupture of silicone implants, the capsule remains intact and the silicone does not enter the body parts. For this reason, you may not know about the rupture of the implant for several years.

Saline implant ruptures

One of the advantages of saline breast implants is that the tear can be visually detected. The tear may represent a small "leak" that may go unnoticed for a week or even several months. However, a typical saline implant rupture is noticeable within a few hours. Breasts with a ruptured implant may appear drooping, loose skin, ripples around the upper chest, etc. Unlike silicone, the saline solution escapes the implant shell and enters the body. Salt solution is not harmful to the body.

Causes of Rupture of Breast Implants

There are many reasons for implant rupture.
Unsupplemented saline implant. A saline implant that is filled below the manufacturer's recommended minimum level is more susceptible to rupture due to the friction of the folds resulting from incomplete filling.

Overfilling the saline implant. Overfilling beyond the manufacturer's recommended maximum level puts you at risk of implant rupture. The manufacturer has the right to waive any warranty claims related to ruptures caused by overfilling.

The pressure from the compressed capsule may rupture the saline or silicone implant.

pressure during a mammogram. The pressure from the flat plate and support vane (parallel plate) used during mammography can cause the implant over the muscle to rupture.
Surgical error: A scalpel or other surgical instruments may puncture the implant.

Valve failure (only applies to saline implants). Unlike silicone breast implants, saline breast implants are filled through a tube after they are inserted into the breast. If the valve is incorrectly installed or defective, the brine will leak out over time.

Detection of a ruptured breast implant

Not everyone is accompanied by a change in size. There are several other signs of implant rupture that do not affect the size and shape of the breast:
Burning;
Pain;
Softness;
Redness;
Temperature increase (extremely rare).

If you find any of these symptoms, you should contact your surgeon.

The gap has been identified. What's next?

When an implant ruptures, it is removed surgically. In most cases, the implant is replaced in the same operation. But first, the surgeon needs to check for the presence or absence of infection. In case of infection, it is necessary to wait some time before inserting a new implant. Inserting an implant while there is an infection can lead to contamination of the new implant and complications such as capsular contracture. The waiting period is usually 2-3 months depending on the state of health and the recommendations of the surgeon.

Related publications:

Consequences of overfilling or underfilling...

Plastic surgery - SURGERY.SU - 2009

The shell of silicone and saline implants consists of a silicone elastomer. This is a soft and elastic material, but it can sweat. If this silicone shell changes, it may break or leak the contents of the implant. When the silicone shell of the saline solution implant is passed through, it is said that the implant is leaking. The solution flowing through the shell is absorbed by the surrounding tissues, and the implant itself becomes wrinkled. When the silicone gel flows, the shell is said to break. The output of silicone gel can be to varying degrees, but the breast itself usually remains the same size. Typically, a rupture of a silicone implant can only be detected by the appearance of capsular contracture.

Risk of rupture or leakage

The risk of a saline implant leaking is approximately 1% per year. The risk of rupture of a silicone implant is about 4% per year for the first four years.

Filling volume

The risk of a saline implant leaking can be reduced by overfilling it, however strange it may seem. The fact is that with incomplete filling of the implant, small folds form on its shell. With the frequent formation of such folds, the shell becomes thinner and weaker. Therefore, there is no point in filling the implant with a minimum volume.

Silicone implants do not need to be overfilled, as they are always optimally filled with gel by the manufacturer.

Saline implant leak

Usually, saline implant leakage is immediately noticeable. Within a few hours, the breast loses its shape. There was even a case where a woman went into the shower with one breast shape and came out with another, as a result of the implant leaking (in this case, the shower was not the cause of the leak!). In some cases, implant leakage may occur gradually over several weeks or even months. Such breasts are usually slightly asymmetrical. Such changes are still much less common and are more often associated with a change in the position of the implant or its weight.

Rupture of silicone implants

If a silicone implant ruptures, the silicone gel may come out of the shell and lead to the development of capsular contracture. This is the first and only sign of a silicone implant rupture. However, this complication does not always develop when a silicone implant breaks. That is why it is recommended that women with silicone implants undergo an MRI (magnetic resonance imaging) every two years. But it should be remembered that MRI also gives accuracy only in 90% of cases, so a negative MRI result does not always indicate the absence of implant rupture. Also, a positive MRI does not always mean the presence of such a gap. Therefore, many women only get an MRI when they have some kind of problem.

What to do if an implant ruptures or leaks

When a saline implant leaks, it is usually replaced with a new implant. When a silicone implant ruptures, implant replacement with capsulotomy is usually performed (since capsular contracture usually forms when a silicone implant ruptures).

When a woman decides to undergo an operation to correct the shape of her breasts, she does not expect to get serious health problems instead of a beautiful result.

But any plastic surgeon will tell you about the possible risk of complications at the first appointment.

Sometimes postoperative consequences cannot be avoided, and the patient should be informed about all the complications after mammoplasty, as well as ways to solve them.

General idea of the procedure

Mammoplasty is a surgical restoration of the size or shape of the breast by installation of specially designed implants in the mammary gland. The operation is performed under general anesthesia, the incision is made with a surgical scalpel.

To place a foreign body in the chest, it is necessary to form a pocket by separating the tissues from each other. Such an intervention does not pass without a trace for the body and requires certain reserves from it for a quick recovery.

The average rehabilitation period after mammoplasty lasts about 1-3 months, depending on the health of the patient. The full result can be assessed after six months.

Limits of the postoperative norm

Throughout the recovery period, a woman must follow all the recommendations of a plastic surgeon. This will minimize all possible risks.

Of course, it is impossible to do without postoperative complications. For example, about a week after the intervention, the patient will be disturbed by palpable pain. Such discomfort is the norm and is eliminated by specially selected analgesics.

You can not do without bruises and swelling - they are an acceptable consequence after mammoplasty, if not accompanied by severe pain and fever.

To control the situation, it is necessary to regularly visit a plastic surgeon throughout the entire rehabilitation period.

Complications and solutions

In some cases, a woman notices that the implant in the breast is not positioned correctly or any movement of the body brings unbearable pain.

Most complications develop in the first hours and days after surgery, but sometimes disorders can appear months or even years later.

If discomfort occurs, it is important to consult a specialist in a timely manner in order to immediately begin treatment, if necessary.

puffiness

With normal recovery of the body, the edema disappears 3-5 days after the operation. This is the maximum period for which excessive hyperemia and tissue swelling must pass.

Edema is pathological if:

there was a feeling of bursting;
the skin around the chest is very reddened;
local subfebrile condition (skin is hot to the touch);
increased body temperature;
pain is not relieved by analgesics.

When such signs appear, you should urgently seek the advice of a doctor.

Excessive puffiness is eliminated by physiotherapy, the application of cooling compresses in a hospital setting. It is not recommended to act on edema on your own. If the pathology is accompanied by the formation of pus under the implant, surgical treatment is prescribed.

Seroma

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Seroma is the accumulation of lymphatic fluid in the subcutaneous fat. Such a complication can be provoked by incorrect actions of the surgeon during the operation, too large implants for a particular breast, or non-anatomical tissue dissection.

When to suspect gray:

the chest is very swollen;
a clear liquid is separated from the unhealed scar of the swollen mammary gland;
the pain is permanent;
scar reddened a lot.

To eliminate the serous fluid, drainage of the postoperative wound or its dissection is prescribed, followed by pumping out the biological material. Anti-inflammatory drugs are prescribed in the complex.

Dangerous hematomas

Hematoma is called an ordinary bruise, that is, subcutaneous hemorrhage. It may appear due to trauma to the breast that has not recovered, improper bleeding control during implant installation, and unskilled actions of medical personnel during the rehabilitation period.

Small bruises are normal and resolve on their own. But in some cases, medical attention is required.

When consultation is needed:

the hematoma is very extensive, can spread under the chest or in the shoulder area;
the symptom is accompanied by an increase in body temperature;
the pain does not go away a week after the operation.

The first step is to stop the bleeding. To do this, the specialist uses hemostatic agents, drugs to lower blood pressure (if necessary) and the application of ice compresses.

In the future, an extensive hematoma must be removed using tissue drainage.

sagging chest

Sometimes sagging occurs a long time after surgery, as a natural process of tissue aging. But if we talk about complications, we should mention ptosis.

It is artificial and expressive. In the first case, sagging occurs due to an implant that is too small, in the second case, tissue descent is a feature of the body and its reaction to a foreign body.

How to determine ptosis:

nipples are above average breast level;
the mammary glands are strongly lowered down;
the distance between the collarbones and the beginning of the chest has increased.

Correcting the sagging of the mammary glands is possible only with the help of repeated plastic surgery. The specialist must select implants that are larger in size and perform the operation based on the characteristics of the body.

Implant contouring

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This complication most often develops in those women who have too thin a layer of subcutaneous fat. When the implant is placed not under the muscle, but directly under the mammary gland, its contours can be seen through the surface of the epidermis.

How to define contouring:

the contours of the implant can be seen visually and palpated;
the chest protrudes unnaturally.

To eliminate such a complication, the specialist will suggest the introduction of special corrective fillers. In some cases, lipofilling is indicated.

This procedure involves taking sebum from suitable areas on the patient's body and then transplanting them into the chest area.

Implant displacement

Implant displacement is another unpleasant complication after mammoplasty. Most often it develops due to its incorrect selection of endoprosthesis or illiterate actions of the plastic surgeon during the operation.

How to determine offset:

the implant protrudes unnaturally away from the main position;
mammary glands look asymmetrical.

In the early stages, you can correct the situation by wearing a special corrective corset and a certain position of the body during sleep. Also, when the implant is displaced, all physical activity is temporarily excluded.

Inflammation, suppuration

One of the most dangerous complications is suppuration of the postoperative suture. This can happen due to non-compliance with the rules of asepsis and antisepsis during surgery, the patient's failure to follow the doctor's recommendations and improper treatment of the scar.

How the complication manifests itself:

the chest is very swollen, burning;
in a short time, body temperature rises to high levels;
the skin around the breast turns red;
pus is separated from the seam or nipple itself.

In the initial stages, inflammation can be stopped by taking antibacterial agents and enhanced treatment of inflamed skin.

If the process is not amenable to medical control, surgical intervention is prescribed.

Loss of sensation

In the first time after the incision on the skin, it loses its sensitivity. This is not a pathology and with the help of physiotherapy is quickly eliminated.

But sometimes the patient does not feel the breast tissue or the nipple itself for a long time. Such a complication occurs due to incorrect actions of the surgeon during mammoplasty, due to which the neural network can be damaged.

To combat the problem, the specialist prescribes a complex of physiotherapy and massage.

Capsular contracture

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After the implant is placed in the mammary gland, connective tissue begins to form around it. In the normal state, it does not exceed a tenth of a millimeter, and the growth stops there..

But due to the characteristics of the body, this process can progress, which provokes the formation of capsular contracture.

How to identify a complication:

the endoprosthesis and its contours can be felt by hand;
breast deformity occurs;
seals, dents or defects appear on the mammary gland;
when touched, the patient feels pain.

The second stage of capsular contracture is eliminated with the help of physiotherapy, massage, the use of vitamin E and a complex of anti-inflammatory injections.

Stages 3 and 4 are corrected only by surgery. To do this, the specialist completely removes the implant, removes the contracture and installs it again. Sometimes a smaller endoprosthesis is selected.

Rippling or skin rippling

Rippling, also called skin rippling, is a fairly rare complication after mammoplasty. This can happen due to the characteristics of the patient's body, the wrong type and size of the implant, as well as the illiterate actions of the surgeon.

How to identify the appearance of skin ripples:

predominantly, the defect is noticeable when the body is tilted forward;
peculiar folds appear on the skin of the chest, similar to fingerprints.

Most often, breast lipolifting is used to eliminate the defect. In some cases, the specialist may advise replacing the implant with an endoprosthesis with a denser structure.

Preventive measures

To minimize the risk of possible complications, first of all, you will need to responsibly approach the choice of a plastic surgeon.

The specialist must have the appropriate qualifications, have a diploma and certificates confirming regular professional development.

This will eliminate the problems that most often arise due to the wrong actions of the doctor during mammoplasty.

What can be done for prevention:

wear corrective underwear for the entire recommended time (1-3 months);
reduce physical activity to a minimum;
do not lift weights;
carefully treat the seam and the chest area with antiseptics;
do not injure the mammary glands;
regularly attend doctor's consultations until the tissues are completely healed;
the entire rehabilitation period should not drink alcohol, smoke;
take antibacterial agents after surgery as prescribed by the doctor.

With the right actions during the rehabilitation period after mammoplasty, most serious complications can be avoided.

Of course, some problems may appear due to the individual characteristics of the organism. But a good doctor will definitely warn about all possible troubles, based on the history of a particular patient.

The video provides additional information on the topic of the article.